93971 CPT Code: 2026 Billing, Documentation, Modifiers and Denial Prevention
The 93971 CPT code looks like one of the simpler entries in a vascular ultrasound fee schedule. Payment problems start when study scope, documented laterality, medical necessity, and the diagnosis code on the claim tell different stories. Confusion with the neighboring bilateral code is the biggest source of code-selection risk on extremity venous duplex claims. […]
93970 CPT Code: Complete Billing and Documentation Guide
CPT 93970 reports a complete bilateral duplex examination of the extremity veins, covering paired upper or lower extremities. The study combines structural imaging with blood-flow analysis, and compression or other documented maneuvers confirm the findings. Code selection has to match the examination performed and documented, not the exam that was originally ordered. Practices often search […]
99495 CPT Code: 2026 TCM Billing Rules, Documentation, and Denial Prevention
Your team saw the patient after a hospital discharge, documented the visit, and sent the claim. The denial came back anyway. Practices that treat the 99495 cpt code like a routine hospital follow-up see this denial repeat. The code pays for Transitional Care Management (TCM), a 30-day service that starts the day a patient leaves […]